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Effects of a new intervention based on the Health at Every Size approach for the management of obesity: The Health and Wellness in Obesity study

机译：一种基于各种规模健康方法的新干预措施对肥胖管理的影响：肥胖的健康与保健研究

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Health at Every Size® (HAES®) is a weight-neutral approach focused on promoting healthy behaviors in people with different body sizes. This study examined multiple physiological, attitudinal, nutritional, and behavioral effects of a newly developed, intensive, interdisciplinary HAES®-based intervention in obese women. This was a prospective, seven-month, randomized (2:1), controlled, mixed-method clinical trial. The intervention group (I-HAES®; n = 39) took part in an intensified HAES>®-based intervention comprising a physical activity program, nutrition counseling sessions, and philosophical workshops. The control group (CTRL; n = 19) underwent a traditional HAES>®-based intervention. Before and after the interventions, participants were assessed for physiological, psychological, and behavioral parameters (quantitative data) and took part in focus groups (qualitative data). Body weight, body mass index, and waist and hip circumferences did not significantly differ within or between groups (P > 0.05). I-HAES® showed increased peak oxygen uptake and improved performance in the timed-stand test (P = 0.004 and P = 0.004, between-group comparisons). No significant within- or between-group differences were observed for objectively measured physical activity levels, even though the majority of the I-HAES® participants indicated that they were engaged in or had plans to include physical activity in their routines. I-HAES® resulted in improvements in eating attitudes and practices. The I-HAES® group showed significantly improved all Body Attitude Questionnaire subscale and all Figure Rating Scale scores (P ≤ 0.05 for all parameters, within-group comparisons), whereas the CTRL group showed slight or no changes. Both groups had significant improvements in health-related quality of life parameters, although the I-HAES® group had superior gains in the “physical health,” “psychological health,” and “overall perception of quality of life and health” (P = 0.05, 0.03, and 0.02, respectively, between-group comparisons) domains. Finally, most of the quantitative improvements were explained by qualitative data. Our results show that this new intensified HAES®-based intervention improved participants’ eating attitudes and practices, perception of body image, physical capacity, and health-related quality of life despite the lack of changes in body weight and physical activity levels, showing that our novel approach was superior to a traditional HAES®-based program.
机译：各种尺寸的健康®（HAES ®）是一种不重体重的方法，致力于促进不同体型人群的健康行为。这项研究检查了基于新开发的，强化的，跨学科的HAES ®干预对肥胖女性的多种生理，态度，营养和行为影响。这是一项前瞻性，为期七个月，随机（2：1），对照，混合方法的临床试验。干预组（I-HAES ®; n = 39）参加了基于HAES >® 的强化干预，包括一项体育锻炼计划，营养咨询会议和哲学研讨会。对照组（CTRL; n = 19）进行了传统的基于HAES >® 的干预。干预前后，对参与者的生理，心理和行为参数（定量数据）进行了评估，并参加了焦点小组（定性数据）。两组之间或组之间的体重，体重指数以及腰围和臀围无显着差异（P> 0.05）。 I-HAES ®在定时站立测试中显示出增加的峰值氧吸收并改善了性能（组间比较，P = 0.004和P = 0.004）。尽管大多数I-HAES ®参与者表示他们从事或计划将体育锻炼包括在体育锻炼中，但客观测量的体育锻炼水平并未观察到明显的组内或团体间差异。他们的套路。 I-HAES ®改善了饮食态度和饮食习惯。 I-HAES ®组显示所有身体态度问卷子量表和所有身分评定量表得分均得到显着改善（所有参数的P≤0.05，组内比较），而CTRL组显示轻微或无变化。尽管I-HAES ®组在“身体健康”，“心理健康”和“对质量的整体认知”方面均取得了优异的成绩，但两组在与健康相关的生活质量参数方面都有显着改善。生命和健康”（组间比较分别为P = 0.05、0.03和0.02）域。最后，大多数定量改进都由定性数据解释。我们的结果表明，尽管缺乏体重变化，这种基于强化HAES ®的新干预措施仍能改善参与者的饮食态度和习惯，对身体形象的感知，身体能力以及与健康相关的生活质量和身体活动水平，表明我们的新方法优于传统的基于HAES ®的程序。

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